1
Enter the facility and unit details
Fill in the facility's full legal name, the specific unit or department (e.g., Medical-Surgical, ICU, ED), and the facility address. This anchors scope-of-practice and regulatory citations to the correct jurisdiction and care setting.
💡 Use the exact entity name that appears on your CMS certification and state operating license — not a trade name or brand.
2
Define the employment type and shift pattern
Select full-time, part-time, or PRN and specify the standard shift length (8, 10, or 12 hours) and rotation pattern. If the role is eligible for a specific shift differential, note it here so it is part of the written offer.
💡 Specifying the shift pattern in the job description — not just the offer letter — gives you a documented basis for scheduling disputes.
3
List clinical duties with measurable specificity
Write each duty as a verb-led statement specific enough to support performance evaluation: 'Administer medications per physician orders' rather than 'provide patient care.' Aim for 10–15 enumerated duties covering assessment, administration, documentation, coordination, and patient education.
💡 Review your most recent CMS survey findings or Joint Commission action plans — duties tied to past deficiencies should appear explicitly in the list.
4
State licensure and certification requirements precisely
Specify the required license type, the issuing jurisdiction, and whether a compact license is accepted. List each required certification (BLS, ACLS, PALS, NIH Stroke Scale) with the issuing body and any grace period for post-hire attainment.
💡 Cross-reference your facility's credentialing policy before finalizing — the job description and credentialing checklist must match exactly.
5
Set education and experience thresholds
Distinguish required from preferred credentials. State the minimum degree (ADN or BSN) and the number of years of experience required in the specific care setting. If the role qualifies as a 'new graduate' position, note that zero experience is acceptable.
💡 If you require a BSN, confirm with HR that this requirement is documented as job-related for the specific role to withstand a disparate-impact challenge.
6
Document physical demands and environmental conditions
List the specific physical requirements — standing hours, lift weight limits, exposure categories — using OSHA and ADA-consistent language. This section protects the facility in workers' compensation and accommodation reviews.
💡 Align the lift weight thresholds with your facility's safe patient handling policy so the two documents are internally consistent.
7
Add compliance obligations and self-reporting requirements
Include the nurse's obligations to maintain licensure, complete annual mandatory training, comply with HIPAA and CMS standards, and self-report any license encumbrance within a defined window (48 hours is standard).
💡 State the specific HR contact or reporting mechanism for license events — a named role or email address is more actionable than 'notify your supervisor.'
8
Obtain signatures before the first clinical shift
Route the completed document to the hiring manager and the new employee for signature before day one. File the executed copy in the employee's personnel file and the credentialing file.
💡 Use a timestamped e-signature tool so the execution date is indisputable if the document is needed in a regulatory audit or legal proceeding.